Peter Sam Hacker, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5774 Issued in NH

Practice address

280 Main St
Suite 210
Nashua, NH 03060-2919

Phone

(603) 577-5315

Fax

(603) 577-5316

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1679649073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3677",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030613677",
            "telephone_number": "603-577-7900",
            "fax_number": "603-577-7972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MAIN ST",
            "address_2": "SUITE 210",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030602919",
            "telephone_number": "603-577-5315",
            "fax_number": "603-577-5316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKER",
        "first_name": "PETER",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "5774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30201609",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "404402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0104689YPNH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Mishik Guyumdzhyan
• Daon Ha, MD
• Amy Louise Haas, PH.D., D.C.
• Shaji Habeebulla, MD
• Andrea Maupin Hacker, RPT
• Shahad Hadadi, DMD
• Hisham M Hafez, MD
• Rachel Haigh-Modlinsky, PT
• Brittney Hall
• Sarah Elizabeth Hall, OTR/L

• Internal Medicine Physician in Nashua, NH
• Providers in Nashua, NH by specialty
• Internal Medicine Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.